Individual
JODY ELAINE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
3580 HARGRAVE CT, HEBRON, KY 41048-6900
(859) 788-3752
Mailing address
29 WALNUT HALL DR, INDEPENDENCE, KY 41051-8641
(859) 663-8064
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
22-217033
KY
Other
Enumeration date
02/15/2023
Last updated
02/15/2023
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